REAGAN MANDIADE MELAD - Physical Therapist License in Florida | # 070019489

REAGAN MANDIADE MELAD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019489

License Status

NOT RENEWED

Business

N

First Name

REAGAN

Middle

MANDIADE

Last Name

MELAD

Business Name

REAGAN MANDIADE MELAD

Original Issue Date

08/31/2012

Effective Date

09/10/2018

Expiration Date

09/30/2020

State

FL

Ever Disciplined

N

LastModifiedDate

01/14/2021